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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500821

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Darrell HowardMorrison Sex Male

Date of Birth July 16, 1922 Place of Birth South OhioCounty of Yarmouth

Name of Father Robert Freeman Moses MAIDEN NAME of Mother Martha Ellen Vickery

Residence of Father when child was born South Ohio Present address of Father South Ohio

Occupation of Father at Birth of child Farmer Place of birth of Father South Ohio

Race Name and present address of Physician in attendance at birth

Signature of Applicant Robert Freeman Moses Address of Applicant South Ohio Date March 22, 1941

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Darrell HowardMorrison

Born at South Ohio in the County of Yarmouth

That Darrell HowardMorrison Whose Birth is sought to be registered was

born at South Ohio Yarmouth County on July 16, 1922

My knowledge of the fact and date of such Birth is based on the following Circumstances:

I am the Father of Darrell Howard Moses and was at home at the time he was born and do well remember the date of his birth

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